Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $124.94 / $140.59	Facility		$63.68	$124.94	$140.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $64.31 / $140.59	Professional		$63.09	$64.31	$140.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $101.72 / $239.94	Facility		$65.29	$101.72	$239.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $63.68 / $137.31	Professional		$62.47	$63.68	$137.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $97.00 / $133.96	Facility		$67.30	$97.00	$133.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $64.88 / $156.05	Professional		$64.88	$64.88	$156.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $60.08 / $63.68	Facility		$60.08	$60.08	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $76.42 / $144.31	Professional		$57.31	$76.42	$144.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.87 / $287.39 / $318.39	Facility		$113.87	$287.39	$318.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $63.68 / $90.46	Facility		$60.08	$63.68	$90.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $137.74	Professional		$63.68	$63.68	$137.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $95.51 / $95.51	Professional		$95.51	$95.51	$95.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $70.05 / $108.26	Professional		$50.95	$70.05	$108.26
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $171.03	Professional		$63.68	$63.68	$171.03